Eficácia do cimento portland como tratamento paliativo de uma perfuração radicular tardia, numa paciente com hepatite autoimune. relato de caso

Abstract

Root perforations are significant complications of endodontic treatment and are considered to have an unfavorable prognosis. In addition to etiologies, another highly relevant issue is the patient's systemic condition. The study aims to assist the effectiveness of palliative use of Portland cement, in sealing a dental perforation, in which it was contraindicated to tooth extraction, due to the patient's systemic impairments and, concomitantly with radiographic proservations, to propose possible treatments to the patient. element in question. The case describes a clinical protocol of one-year proservation, of extensive and late perforation of the root floor, in a patient with serious systemic involvement, which months led her to an induced coma. In view of the presented severity, the palliative treatment of choice based on technical and ethical precepts was the sealing of the perforations with Portland Cement (CP) in the dental element 46. It is noticeable the lack of studies that analyze and direct the clinician to a conduct rational in cases of floor perforation in patients with autoimmune hepatitis. Therefore, having established these premises, we find it pertinent to preserve and evaluate the effects of Portland Cement in a floor perforation, in a patient with systemic impairment. In addition, we hope to attract attention to the topic and contribute to the development of new treatment hypotheses and protocols with a more conservative approach.